Improved access to women's health services for Alaska natives through community health aide training.
Improved access to women's health services for Alaska natives through community health aide training.
复制标题
通过社区健康助理培训,改善阿拉斯加当地人获得妇女健康服务的机会。
DOI:
10.1023/a:1018798406751
复制
发表时间:
1999
影响因子:
5.9
通讯作者:
Provost,EM
中科院分区:
文献类型:
--
作者:
Sox,CH;Dietrich,AJ;Goldman,DC;Provost,EM
This project demonstrates the effect of increasing the skills of Community Health Aides (CHAs) on the use of specific preventive health services by women in remote Alaska villages. Eight CHAs were trained in specimen collection for Pap and sexually transmitted disease testing, and in clinical breast examination. Skill competency was monitored. Computerized medical records of all women between the ages of 18 and 75 in the four villages with trained CHAs and in four comparison villages (n = 1093) were checked for Pap status prior to CHA training and again 12 months later. All eight CHAs achieved competency and provided services in their village clinics with telephone support from an experienced clinician. The post-training year Pap test rate of women who were overdue for a Pap test was 0.44 in the villages with trained CHAs; the rate among the women in the comparison villages was 0.32 (p = .079).